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Lymphangioma circumscriptum of the vulva following surgical and radiological therapy of cervical cancer.
Sex Transm Dis. 2002 Sep; 29(9):533-5.ST

Abstract

BACKGROUND

Lymphangioma circumscriptum of the vulva rarely develops after postoperative pelvic irradiation.

GOAL

The goal was to describe two cases of lymphangioma circumscriptum and their treatment and present a brief review of the literature.

STUDY

Two female patients, aged 75 years and 46 years, presented with persistent edema, papules, and vesicles of the labia majora, which had developed 15 and 9 years after hysterectomy, lymph node dissection, and subsequent irradiation of cervical cancer. The external diagnosis was genital warts.

RESULTS

In both cases histology revealed lymphangioma circumscriptum of the vulva. Whereas the older woman's condition responded well to laser treatment, keloids developed in the second patient at the site of carbon dioxide laser vaporization.

CONCLUSION

CO2 laser treatment recently has been recommended for vulvar lymphangioma circumscriptum and is effective in vaporizing the communicating vessels to deeper cisterns. To our knowledge this is the first description of keloid development after laser therapy for vulvar lymphangioma circumscriptum, and such an effect should be considered before CO2 laser surgery is applied for this particular entity.

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Authors+Show Affiliations

Jappe U
Department of Dermatology and Venereology, University of Heidelberg, Germany. Uta_Jappe@med.uni-heidelberg.de
Zimmermann T
No affiliation info available
Kahle B
No affiliation info available
Petzoldt D
No affiliation info available

MeSH

AgedCarbon DioxideCombined Modality TherapyFemaleHumansKeloidLaser TherapyLymphangiomaMiddle AgedNeoplasms, Radiation-InducedRadiotherapyUterine Cervical NeoplasmsVulvaVulvar DiseasesVulvar Neoplasms

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12218845

Citation

Jappe, Uta, et al. "Lymphangioma Circumscriptum of the Vulva Following Surgical and Radiological Therapy of Cervical Cancer." Sexually Transmitted Diseases, vol. 29, no. 9, 2002, pp. 533-5.
Jappe U, Zimmermann T, Kahle B, et al. Lymphangioma circumscriptum of the vulva following surgical and radiological therapy of cervical cancer. Sex Transm Dis. 2002;29(9):533-5.
Jappe, U., Zimmermann, T., Kahle, B., & Petzoldt, D. (2002). Lymphangioma circumscriptum of the vulva following surgical and radiological therapy of cervical cancer. Sexually Transmitted Diseases, 29(9), 533-5.
Jappe U, et al. Lymphangioma Circumscriptum of the Vulva Following Surgical and Radiological Therapy of Cervical Cancer. Sex Transm Dis. 2002;29(9):533-5. PubMed PMID: 12218845.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lymphangioma circumscriptum of the vulva following surgical and radiological therapy of cervical cancer. AU - Jappe,Uta, AU - Zimmermann,Thomas, AU - Kahle,Birgit, AU - Petzoldt,Detlef, PY - 2002/9/10/pubmed PY - 2002/11/26/medline PY - 2002/9/10/entrez SP - 533 EP - 5 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 29 IS - 9 N2 - BACKGROUND: Lymphangioma circumscriptum of the vulva rarely develops after postoperative pelvic irradiation. GOAL: The goal was to describe two cases of lymphangioma circumscriptum and their treatment and present a brief review of the literature. STUDY: Two female patients, aged 75 years and 46 years, presented with persistent edema, papules, and vesicles of the labia majora, which had developed 15 and 9 years after hysterectomy, lymph node dissection, and subsequent irradiation of cervical cancer. The external diagnosis was genital warts. RESULTS: In both cases histology revealed lymphangioma circumscriptum of the vulva. Whereas the older woman's condition responded well to laser treatment, keloids developed in the second patient at the site of carbon dioxide laser vaporization. CONCLUSION: CO2 laser treatment recently has been recommended for vulvar lymphangioma circumscriptum and is effective in vaporizing the communicating vessels to deeper cisterns. To our knowledge this is the first description of keloid development after laser therapy for vulvar lymphangioma circumscriptum, and such an effect should be considered before CO2 laser surgery is applied for this particular entity. SN - 0148-5717 UR - https://www.unboundmedicine.com/medline/citation/12218845/Lymphangioma_circumscriptum_of_the_vulva_following_surgical_and_radiological_therapy_of_cervical_cancer_ L2 - http://dx.doi.org/10.1097/00007435-200209000-00007 DB - PRIME DP - Unbound Medicine ER -